Individual
MR. EARL WARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C./L., C.S.C.S.
Contact information
Practice address
2220 SCHOFIELD RD, VIRGINIA BEACH, VA 23459-8838
(757) 763-4068
Mailing address
2220 SCHOFIELD RD, VIRGINIA BEACH, VA 23459-8838
(757) 763-4068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002294
VA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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